Chapter 5: Obstacles to Brain Health

1. There are many Healthy Heart Programs and they have been well studied: Barnard C, Evans P. Your Healthy Heart – The Family Guide to Staying Healthy & Living Longer. McGraw-Hill Book Company, New York. 1985. Mosca L, Banka CL, Benjamin EJ, et al. Evidence-Based Guidelines for Cardiovascular Disease Prevention in Women: 2007 Update. Circulation 2007;115:1481-1501. Hunink MGM, Goldman M, Tosteson ANA, et al. The recent decline in mortality from coronary heart disease, 1980-1990. Journal of the American Medical Association 1997;277:535-542. Luepker RV, Murray DM, Jacobs DR, et al. Community education for cardiovascular disease prevention: Risk factor changes in the Minnesota Heart Health Program. American Journal of Public Health 1994;84:1383-93. Chetwynd K, Felix D. Healthy People 2000 – The rationale and potential efficacy of preventive nutrition in heart disease: The Framingham Offspring-Spouse Study. Archives of Internal Medicine 1993;153:1549-56. Anderson J, Nixon J, Woodard J. The Healthy Heart Program Lowers Heart Disease Risk in a Rural County. Journal of Extension 1998; 36(6):1-18. Farquhar JW, Fortmann SP, Maccoby N. Effects of community-wide education on cardiovascular disease risk factors: The Standard Five-City Project. JAMA 1990;246:359-65.
2. Arbeit ML, Johnson CC, Mott DS, et al. The Heart Smart cardiovascular school health promotion: behavior correlates of risk factor change. Prev Med 1992;21(1):18-32.
3-5. Rebecca Dulit, M.D., Chair; David Adler, M.D., Jeffrey Berlant, M.D., Devra Braun, M.D., Lisa Dixon, M.D., Victor Fornari, M.D., Beth Goldman, M.D., Jon Grant, M.D., Richard Hermann, M.D., Samuel Siris, M.D., and William Sonis, M.D.) Committee on Psychopathology of the Group for the Advancement of Psychiatry. Info Explosion. Psychiatr Serv 2002;53:657. , June 2002. © 2002 American Psychiatric Association. Hayes RR, Jadad AR, Hunt DC. What’s up in medical informatics? CMAJ 1997;157:1718-9. Editorial: Contemplation of medicine and electronics. CMAJ 2000;163(12)1545. Jadad AR, Enkin MW. The new alchemy: turning information into knowledge in an electronic age. CMAJ 2000;162(13):1826-28. Huth EJ. The information explosion. Bull N Y Acad Med 1989; Jul-Aug;65(6):647-61; discussion 662-72. Michels R. Looking back: the history of psychiatry in the 21st century. Arch Gen Psychiatry. 1999 Dec;56(12):1153-4. Finkel SI, Cohen GD, Bergener M, Hasegawa K. Psychogeriatrics and medical informatics. Int Psychogeriatr 1991;Spring;3(1):7-9. Leach RE. The misinformation boom. Iowa Orthop J 2000;20:96-100.
6. The last official, legal witch hunt and burning was only about 360 years ago. (Accessed December 5, 2014).
7. Vaswani K. Mentally ill patients in Indonesia held in chains. BBC News, Jakarta. April 13, 2013.
8. Goldberg E. The Executive Brain – Frontal Lobes and the Civilized Mind. 2001. Oxford University Press Inc., New York. New York.
9. Okinawa study: The tiny Japanese island of Okinawa has 427 people over age 100, enjoying good health (Okinawa Centenarian Study, American Geriatrics Society Annual Meeting, 2001). Secret: Calorie restriction and a slower, reverent approach to refection (hara hachi bu). The Okinawa Program (Clarkson Potter, 2001),
10. Fraser GE. Diet, Life Expectancy, and Chronic Disease – Studies of Seventh-Day Adventist and Other Vegetarians. Oxford University Press, 2003. New York, New York.
11. Lyon JL, Bishop CT, Nielsen NS. Cerebrovascular disease in Utah, 1968-1971. Stroke 1981;12:564-566.
12. Osunkotun BO, Ogunniyi AO, Lekwauwa UG. Afr J Med Sci 1992;21:71-77.
13 -14. Hendrie HO, Hall KS, Pillay N, et al. Int Psychogeriatr 1993;5:5-14. (Remote Canadian natives vs. urban Canadian natives)
15. Overinvolvement with brain health can be ridiculous or even dangerous.
16. Herbert Relaxation Response.
17. Gendlin E. Focusing
18. Earle R, Imrie D. Canadian Institute on Aging. Canadian researchers Richard Earle and David Imrie found that during this “decade of vulnerability”, the average North American male ages 15.2 years, while the average female ages 18.6 years (In: Ullis K. Age Right. Simon & Schuster, New York. 2000. Ch. 2, pp. 23.).
19. However, ageism is an enemy of healthy aging and a true obstacle to maintaining brain health.19
20. It has been shown that healthy brain practices improve quality of life even for those with AD.20
21. Morley JE, van den Berg L. Endocrinology of Aging, Humana Press, Totowa, New Jersey, 2000. Syndrome X is one step away from what is known as CHAOS Syndrome: Cardiac disease, Hypertension, Adult diabetes, Obesity and Stroke – very bad for the brain.21
22. Joseph JA, et al., Increased Sensitivity to Oxidative Stress and the Loss Muscarinic Receptor Responsiveness in Senescence, Annals of the New York Academy of Sciences, New York: New York Academy of Sciences (1995): 112-18.
23. Morley JE, van den Berg L. Endocrinology of Aging, Humana Press, Totowa, New Jersey, 2000.
Sapolsky RM. Stress, the Aging Brain and the Mechanisms of Neuron Death. Sapolsky RM, Uno H, Rebert CS, et al. Hippocampal damage associated with prolonged glucocorticoid exposure in primates. J Neurosci 1990;10:2897-2902.
24. Jean Calment. (Accessed on December 5, 2014). Moore TJ. Life Span: Who Lives Longer and Why. New York: Simon and Schuster, 1993.

Reviewed on December 5, 2014